Provider Demographics
NPI:1710406905
Name:CG3 ENTERPRISES INC.
Entity Type:Organization
Organization Name:CG3 ENTERPRISES INC.
Other - Org Name:BRIGHTSTAR CARE OF NORTH CENTRAL BROWARD COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:FARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-507-4530
Mailing Address - Street 1:10251 W SAMPLE RD STE D
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3928
Mailing Address - Country:US
Mailing Address - Phone:954-507-4530
Mailing Address - Fax:
Practice Address - Street 1:10251 W SAMPLE RD STE D
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3928
Practice Address - Country:US
Practice Address - Phone:954-507-4530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994695251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health